460 2nd pre-election amendmentRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 09/20/09
through 10/17/09
~. Type Of ReClplent GOmmittee: All Committees -Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ^ Ballot Measure Committee
Q State Candidate Election Committee Q Primarily Formed
Q Recall Q Controlled
(AfsoCompletePartS) Q Sponsored
(Also Complete Part 6J
^ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
^ Primarily Formed Candidates
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1319625
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Darcy Paul for Cupertino City council 2009
STREET ADDRESS (NO P.O. BOX)
20370 Town Center Lane, Suite 100
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 408 517 0977
MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX
Same
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
~I~~c~~~i~~~~
COVER PAGE
Date of election if appli ~l ~ JAN 1 92010 ~ _
{Month, Day, Year) of
For Official Use Only
11/03/09 PEPTII~Q CITY CL K
2. Type of Statement:
^ Preelection Statement ^ Quarterly Statement
^ Semi-annual Statement ^ Special Odd-Year Report
^ Termination Statement ^ Supplemental Preelection
® Amendment {Explain below) Statement -Attach Form 495
Occupation and employer information update
Treasurer(s) -
NAME OF TREASURER
Betsy Shoup
440-12 Galleria Drive
CITY STATE ZIP CODE AREA CODE/PHONE
San Jose CA 95134 408 517 0977
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX ! E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
01/19/10
Executed on BY
Date
01/19/10
Executed on BY
Date
Executed on
Date
Executed on BY FPPC Form 460 (Junel0l)
Date Signature of Confiolling Officeholder, Candidate.. State Measure Proponent
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
By
Signature of Controlling Officeholder Candidate, State Measure Proponent
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2 COVER PAGE-PART2
. -
. - ~ • ~
Page ~ of
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Darcy Paul for Cupertino City Council 2009 N/A
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER tF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ^ SUPPORT
^ OPPOSE
Cupertino City Council
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET} CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
10100 Torre Avenue #140 Cupertino, CA 95014
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
N/A
Related Committees Not Included in this Statement: Lisr any comm;ttees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
N/A
7. Primarily Formed Committee List names of officeholder(s) or Candidate(s) for
NAME OF TREASURER CONTROLLED COMMITTEE? which this committee is primarily formed.
^ YES ^ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
N/A
NAME OF TREASURER CONTROLLED COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
^ SUPPORT
N/A ^ oPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
^ SUPPORT
N/A ^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ oPPOSE
N/A
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
N/A
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
State of California
Schedule A Type or print in ink. SCHEDULE A
- - - - - Amounts may be rounded
Monetary Contributions Received to whole dollars. Statement covers period
• " ~
'
from 09/20/09 ~
~ -
through 10/17/09 Page 3 of 3
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
CALENDAR YEAR PER ELECTION
TO DATE
RECEIVED (IFCGMMITTEE,ALSOENTERI.D.NUMBER) CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED)
OF BUSINESS]
9/25/09 Joan Wu ®IND
^coM Com uter Pro ramer
p g 100.00 100.00 100.00
12903 Flint Street ^OTH Hallmark Cards
Overland Park, KS 66219 ^ PTY
^ scc
10/08/09 Thomas Tai Chen ®IND
^coM Retired 100.00 100.00
100.00
15553 Summer Lake Drive ^OTH
Chesterfield, MO ^ PTY
^ scC
®IND
^ COM
^ OTH i
^ PTY
^SCC
®IND
^ COM
^ OTH
^ PTY
^SCC
®IND
^ COM
^ OTH
^ PTY
^SCC
SUBTOTAL$
Schedule A Summary
Amount received this period -contributions of $100 or more.
(Include all Schedule A subtotals.) .........................................................
2. Amount received this period - unitemized contributions of less than $100 ..............
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .....
...... TOTAL $
'Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH -Other
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpiine: 866/ASK-FPPC